Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $49.49 / $52.21	Facility		$29.69	$49.49	$52.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $57.31 / $96.01	Professional		$39.09	$57.31	$96.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $174.03 / $196.49	Facility		$68.59	$174.03	$196.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $230.73 / $230.73	Professional		$230.73	$230.73	$230.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $46.02 / $53.78	Professional		$22.22	$46.02	$53.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $71.09 / $85.40	Professional		$50.00	$71.09	$85.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $55.58 / $98.76	Professional		$39.20	$55.58	$98.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $46.26 / $46.26	Professional		$46.26	$46.26	$46.26